Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $21.83 / $52.74	Facility		$9.00	$21.83	$52.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $10.06 / $15.19	Professional		$4.57	$10.06	$15.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $11.55 / $30.03	Facility		$11.55	$11.55	$30.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.74 / $18.34	Professional		$3.34	$5.74	$18.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $11.55 / $11.55	Facility		$6.93	$11.55	$11.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $11.55 / $11.55	Professional		$8.43	$11.55	$11.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $23.31 / $66.06	Facility		$8.07	$23.31	$66.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.18 / $56.92	Professional		$8.68	$11.18	$56.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $15.02 / $332.00	Facility		$6.00	$15.02	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.93 / $21.14	Professional		$5.28	$6.93	$21.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $9.82 / $12.56	Professional		$6.74	$9.82	$12.56
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $24.23 / $40.17	Facility		$9.30	$24.23	$40.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $28.09 / $157.11	Facility		$13.73	$28.09	$157.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.57 / $30.00	Professional		$9.27	$12.57	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.49 / $16.96	Professional		$4.09	$5.49	$16.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $28.17	Facility		$13.28	$13.28	$28.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $10.38 / $13.88	Professional		$6.51	$10.38	$13.88